Individual
CARLA MEZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP
Contact information
Practice address
415 S WICKHAM RD, MELBOURNE, FL 32904-1137
(321) 400-1220
Mailing address
162 PEREGRINE DRIVE, INDIALANTIC, FL 32903
(321) 960-8654
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
11035572
FL
Other
Enumeration date
10/01/2024
Last updated
10/23/2024
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